PN 119 PrepU Chapter 18

Which statement should be included in the teaching plan for a patient receiving methylphenidate (Ritalin)?

"Adverse effects include hypertension and nervousness."

After teaching the parents of a child diagnosed with ADHD about the disorder and its treatment, the nurse determines that the teaching has been effective when the parents state:

"We need to remember that our son is not a bad kid; he just has difficulty with impulse control and attention."

A nurse is caring for a patient who has been prescribed an analeptic drug for respiratory depression. What ongoing assessments should the nurse perform for this patient? Select all that apply.

Monitor the level of consciousness Observe patient for adverse drug reactions Draw blood for arterial blood gas analysis at intervals as ordered

John is a 45-year-old man who is obese. He is coming to see the physician today about diet and medications to help him lose weight. He wants to be prescribed dextroamphetamine. Based on John's history, what would contraindicate the use of this medication?

Myocardial infarction 2 months previously

Which of the following is usually administered before, during, and after CNS stimulant administration to a patient with respiratory depression? (Choose one)

Oxygen

Due to excessive stimulation, caffeine is not recommended for:

People with cardiac dysrhythmias, a history of stroke, peptic ulcer disease, bipolar mood disorder, and schizophrenia.

Which CNS stimulant is used in the treatment of obesity?

Phentermine (Adipex-P)

A nurse is assessing a child who is suspected of having attention deficit hyperactivity disorder (ADHD). ADHD is characterized by persistent hyperactivity, inattention, and

impulsiveness.

The patient is ordered didrex 25 mg PO BID. The drug comes in 50-mg tablets. How much should the nurse administer to the patient at each dose?

1/2 tablet

The nursing student learned in anatomy and physiology class that the nervous system has how many divisions?

2

A dose of 60 mg Doxapram HCL has been prescribed for a patient to be administered intravenously. The drug is available in 20-mL vials containing 400 mg of the drug. How many mL of the available solution should be administered to the patient?

3

The patient taking a CNS stimulant reports insomnia. The best option for the nurse in this case is which of the following?

Administer the drug earlier in the day.

A nurse is instructing a mother about a new drug her son was prescribed for ADHD. The nurse should include which of the following instructions?

Always take the drug in the morning 30 to 45 minutes before breakfast and lunch.

A 3-year-old child is brought to the pediatric clinic by his mother. She states, "I don't know what to do with him. He is in constant motion. He won't sit for more than 15 minutes and he is doing something else. He often throws his toys and yells loudly." The child is diagnosed with attention deficit hyperactivity disorder. Which medications will be administered in conjunction with treatment?

Central nervous system stimulants

A patient with postpartum thyroiditis could potentially experience all the following adverse cardiovascular effects from caffeine, EXCEPT:

Decreased cardiac output

A patient has been treated with amphetamines for ADHD. At the age of 16 years, she is diagnosed with hyperthyroidism. What intervention should be implemented with this patient?

Discontinue the amphetamines

A patient is required to take an anorexiant drug in an outpatient setting. Which of the following is one of the results of taking the drug?

Drug may mask extreme fatigue Drug may mask extreme fatigue

Elderly patients taking CNS stimulants are especially sensitive to these drugs. Therefore, they need to be monitored for which of the following side effects? (Check all that apply.)

Excessive anxiety Nervousness Insomnia Mental confusion

A child is prescribed an amphetamine for attention deficit hyperactivity disorder. Which of the following effects provide evidence that the medications are working?

Improved grades

A patient with narcolepsy is placed on a central nervous system stimulant for treatment of his narcolepsy. What is the central nervous system stimulant of choice to treat narcolepsy?`

Modafinil (Provigil)

A patient taking modafinil (Provigil), a CNS stimulant, for narcolepsy has recently needed an increased dosage. At a follow-up visit, the patient is combative and confused, and has a low-grade fever. The nurse knows that this clinical presentation is most likely which of the following?

Signs of toxicity from the medication

The analeptics are CNS stimulants that do which of the following? (Select all that apply)

Stimulate the respiratory center of the brain Stimulate the cardiovascular system

The nurse is gathering a client's medication and cannot find the bottle for the methylphenidate, Daytrana. What is the best reason for this?

This is a transdermal patch medication, so there is no pill bottle.

A 10-year-old boy is taking dextroamphetamine (Dexedrine) daily for ADHD. At each clinic visit, the nurse's priority assessment would be

height and weight.

The pharmacology instructor is discussing medications used to treat attention deficit hyperactivity disorder. According to the instructor, methylphenidate is

a central CNS stimulant.

A 29-year-old woman who is morbidly obese has recently begun a comprehensive, medically-supervised program of weight reduction. Prior to adding dextroamphetamine (Dexedrine) to her regimen, the patient should be questioned about her intake of`

caffeine.

The nurse has learned that there is a high incidence of suicidal ideation in children and adolescents when using which of the following drugs?

strattera